Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
KIT FOR PREPARATION OF TC-99M-BICISATE 0.9 MG INTRAVENOUS SOLUTION
Low
$202
Average
$590
Median
$509
High
$1.2k
Each hospital's average Superior Healthplan rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 4.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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20 hospital rates
iThe hospitals that file a Superior Healthplan rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Adventhealth Central Texas Killeen, TX fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 2 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $684 | $684 | — | — | — | $684 – $684 |
| 3 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 4 | HCA HOUSTON HEALTHCARE CONROE CONROE, TX percent of total billed charges · outpatientfrom % of charges | 5 | $487 | $487 | — | — | — | $487 – $487 |
| 5 | HCA HOUSTON HEALTHCARE MEDICAL CENTER HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 5 | $202 | $202 | — | — | — | $202 – $202 |
| 6 | HEART HOSP OF AUSTIN Austin, TX percent of total billed charges · outpatientfrom % of charges | 7 | $112 | $226 | $133 | 59% | — | $112 – $380 |
| 7 | HEART HOSP OF AUSTIN AT ST. DAVID'S ROUND ROCK ROUND ROCK, TX percent of total billed charges · outpatientfrom % of charges | 7 | $112 | $226 | $133 | 59% | — | $112 – $380 |
| 8 | MEDICAL CITY LAS COLINAS Irving, TX percent of total billed charges · outpatientfrom % of charges | 5 | $521 | $521 | — | — | — | $521 – $521 |
| 9 | MEDICAL CITY PLANO Plano, TX percent of total billed charges · outpatientfrom % of charges | 5 | $497 | $497 | — | — | — | $497 – $497 |
| 10 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $552 | $552 | — | — | — | $552 – $552 |
| 11 | ST DAVIDS REHAB Austin, TX percent of total billed charges · outpatientfrom % of charges | 7 | $112 | $226 | $133 | 59% | — | $112 – $380 |
| 12 | ST LUKES COMMUNITY DEVELOPMENT CORPORATION - SUGAR LAND Sugar Land, TX case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | ST. DAVID'S GEORGETOWN HOSPITAL Georgetown, TX percent of total billed charges · outpatientfrom % of charges | 7 | $112 | $226 | $133 | 59% | — | $112 – $380 |
| 14 | ST. DAVID'S MEDICAL CENTER Manor, TX percent of total billed charges · outpatientfrom % of charges | 7 | $112 | $226 | $133 | 59% | — | $112 – $380 |
| 15 | ST. DAVID'S NORTH AUSTIN MEDICAL CENTER AUSTIN, TX percent of total billed charges · outpatientfrom % of charges | 7 | $159 | $323 | $189 | 59% | — | $159 – $541 |
| 16 | ST. DAVID'S ROUND ROCK MEDICAL CENTER ROUND ROCK, TX percent of total billed charges · outpatientfrom % of charges | 7 | $258 | $523 | $306 | 59% | — | $258 – $876 |
| 17 | ST. DAVID'S SOUTH AUSTIN MEDICAL CENTER AUSTIN, TX percent of total billed charges · outpatientfrom % of charges | 7 | $244 | $496 | $290 | 59% | — | $244 – $831 |
| 18 | ST. LUKE'S COMMUNITY HEALTH SERVICES The Woodlands, TX case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 19 | ST. LUKE'S COMMUNITY HEALTH SERVICES Spring, TX case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 20 | ST. LUKES HOSPITAL AT THE VINTAGE Houston, TX case rate · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
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